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FF01� Town of Southold 8/30/2016 P.O.Box 1179 53095 Main Rd 4 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38482 Date: 8/30/2016 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 4297 Wells Rd,Peconic SCTM#: 473889 Sec/Block/Lot: 86.4-9.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/20/2016 pursuant to which Building Permit No. 40730 dated 5/31/2016 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: ROOF MOUNTED SOLAR PANELS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to van Adelsberg,Janet of the aforesaid building. ,SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40730 08-10-2016 PLUMBERS CERTIFICATION DATED Authorized Signature gufFoa,��, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o� • ; SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 40730 Date: 5/31/2016 Permission is hereby granted to: van Adelsberg, Janet 420 Riverside Dr Apt 5B New York, NY 10025 To.: install roof mounted solar panels as applied for. At premises located at: - 4297 Wells Rd, Peconic SCTM # 473889 Sec/Block/Lot# 86.-1-9.5 Pursuant.to application dated 5/20/2016 and approved by the Building Inspector. To expire on 11/30/2017. Fees: SOLAR PANELS $50.00 CO -ALTERATION TO DWELLING $50.00 ECTRIC $100.00 Total: $200.00 Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL, 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or topographic features. 2, Final Approval from Health Dept.of water supply and sewerage-disposal(S-9-form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2110 of I% lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance'from,architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9,1957)rion-conforming uses,or buildings and"pre-existing"land uses: I. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificaie of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 . 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00 Date. 5/18/16 New Construction: Old or Pre-existing Building: X (check one) Location of Property:_ 4297 Wells Rd Peconic House No. Street Hamlet Owner or Owners of Property: Janet Vanadelsberg Suffolk County Tax Map No I000,Section 86 Block 1 Lot 9.5 _ Subdivision Filed Map. Lot: Permit No. �d Date of Permit. Applicant: GreenLogic LLC Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 50.00 Applicant Signature D Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 roger.richert(cD-town.southold.ny.us Southold,NY 11971-0959 cou ,� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To- Van Adelsberg Address: 4297 Wells Road City: Peconic St: New York Zip: 11958 Budding Permit#: 40730 Section: 86 Block 1 Lot: 9.5 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Green Logic LLC License No: 43858-ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New X Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks Disconnect Switches Twist Lock Exit Fixtures 11 TVSS Other Equipment: 10.137 KW Roof Mounted Photovoltaic System to Include 31- SPR-E20-327 Panels 2-SB5000 Inverters,2-A/C Disconnects Notes. Inspector Signature: Date: August 10, 2016 OOElectrical 81 Compliance Form.xls SOUlyolo TOWN OF SOUTHOLD BUILDING DEPT. 766-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ELECTRICAL (FINAL) REMARKS: ry DATE �� �� INSPECTOR J A M E S J. S TOUT A R C H I T E C T & Assoc . 2 G REG L ANE E AST NORTHPORT N. Y. a 31 — 8 58 9388 Post Installation Letter D August 12, 2016 v D Auc 18 2016 RE: Vanadelsberg Residence 4297 Wells Road BUMDING DEPT. Peconic, NY 11958 TOWN OF 80=OLD To Whom It May Concern: This letter is to confirm that as of this date August 12, 2016 I, James J Stout, NYS license 021633 have personally inspected the placement and installation of the roof top solar panels at the above listed address.All of the solar panels have been installed as per manufacturer's guidelines and specifications. The racking system design and installation complies with the 2010 building code of NYS section 1609 and all related provisions. The installation of panels was done as per plan except for the movement of panels due to field conditions. Thank you for your cooperation in this matter. James J. Stout Architect ED ASG' A 9 . y ; FIELD IN'SPEZMQN IMPDXT DA's coM� . FOUNDAtION(IST) r rrwrrrYr rw�rrhrwr�rMrrrrYrrYw . ROUGH MWt IV +& PLUMBING -�— Ilk UN OL. PBA N.Y. H STATE ENERGY C0i}E • Ii'Z'NAL LIl i TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631)765-9502 ---7 Surve SoutholdTown.NorthFork.net PERMIT NO. qO'" Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined /— _,20 Storm-Water Assessment Form Contact: Approved �'1 ,20-U-0 Mail to: GreenLogic LLC Disapproved a/c 425 County Road 39A,Southampton,NY 11968 i1 Phone: 631-771-5152 Expiration 1l 2kq_ M 'T"<Ing nspe D � 0PPLICATION FOR BUILDING PERMIT J 11 Al 20% Date May 18 , 20 16 INSTRUCTIONS a.Th' $1'.be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, c ®ale.Fee according to schedule. b. t bowing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas,and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d.Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter,a new permit shall,be`required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County,New York,and other applicable Laws,Ordinances or Regulations,for the construction of buildings,additions,or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,housing code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. GreenLogic LLC (Signature of applicant or name,if a corporation) 425 County Road 39A, Southampton, NY 11968 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,general contractor, electrician,plumber or builder Contractor Name of owner of premises Janet Vanadelsberg (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. 40227-H Plumbers License No. N/A Electricians License No. 43858-ME Other Trade's License No. N/A 1. Location of land on which proposed work will be done: 4297 Wells Rd Peconic House Number Street Hamlet County Tax Map No. 1000 Section 86 Block 1 Lot 9.5 Subdivision Filed Map No. Lot e 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Single family dwelling b. Intended use and occupancy Single family dwelling 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other WorkRoof mounted solar electric system (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number offS,t ries 6 8. Dimensions of entire new construction: Front Rear Depth r Height Number of Stories A903 ' 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation?YES NO_X 13. Will lot be re-graded?YES NO X Will excess fill be removed from premises?YES NO 4297 Wells Rd 14.Names of Owner of premisesJanet VanadelsbergAddress Peconic, NY 11958 Phone No. 917-282-2961 Name of Architect ZrYKS NW Address C!nbl#1`Kk'l Bt' Phone No (631-nM317 Name of Contractor GreenLogic LLC Address 425 County Road 39A Phone No. 631-771-5152 Southampton,NY 11968 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES x NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES _NO * IF YES,D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey,to scale,with accurate foundation plan and distances to property lines. I 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this property? * YES >(' NO * IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Nesim Albukrek being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the Contractor (Contractor,Agent,Corporate Officer,etc.) - of said owner or owners,and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this I C1 day of 20 1!( Notary Public Signature of Applicant SAMANTHA CORBETT Notary Public,State of New York Reg.No.01 C06M944 ouaimW in Suffolk County Commission E)ires January 19,2020 10 SUFFQ Ir Scott A. Russell STOWWWATEK. SUPERVISORAMIANAGIEMIENT SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET (TO BE COMPLETED BY THE APPLICANT ) DOES =S PROJECT INWOLVE ANY OF THE FOLLOWING. ii Yes No (CHECK ALL THAT APPLY; A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet-of ground surface. B. Excavation or filling involving more than 200 cubic yards of material it within any parcel or any contiguous area. OE] C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of-horizontal distance. EIEI D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. [I El E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. 0 Fx1 F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes It It in-kind replacement of impervious surfaces. If you answered NO to all of the-questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information,Date & County Tax Map Number? Chapter 236 does not apply to your project. If you answered YES to one or more of the above,please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with-your Building Permit Application. DLwkt APPLICANT: (Profwrty Owuer,Design Piofe--sional.Agent,C.",IW- S.C.T.M. 1000 Date: NAME,, GreenLog!9 LLC (Nesim Albukrek) 86 1 9.5 L55/1 8/16 j Swim Block 7Ot— FOR BUILDING DEPARTMENT USE ONLY coatactidoinlatioll 631-771-5152 c Rex,jewed By: ib-IN rV1' P lk�-rvc'p�— -- - - - - - - - - - - - - - - - - — Date. Property Address 1 Location of Construction Work: LW — — — — — — — — — — — — — Approved for proce&sing Building Permit. It[ 4297 Wells Rd Storinwater Management Control Plan Not Required. jil PemnIr-, NY 11958 Stormwater Management Control Plan is Required- -orwar(J to Engineering Department for f Revie - i . . uf Scf�TyDl , 0 Town Hall Annex Telephone(631)765-1802 j 54375 Main Road ,ax(6313 765-yy542 P.O.Box 1179 roaer_riChert Iown.s011ft10 .ny.us Southold,NY 11971-0959 �OUM1Y,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY- - Samantha Corbett Date: 5/18/16 Company Name: GreenLogic LLC Name: Robert Skypala ` License No.: 43858-ME Address: 425 CountV Road 39A, Southampton, NY 11968 Phone No.: 631-771-5152 I 1 JOBSITE INFORMATION: (*Indicates required information) *Name: , Janet Vanadelsberg *Address: 4297 Wells Rd. Peconic NY 11958 *Cross Street: Main Rd *Phone No.: 917-282-2961 Permit No.: I Tax-Map District: 1000 Section: 86 Block: 1 Lot: 9. *BRIEF DESCRIPTION OF WORK(Please Print Clearly) Roof mounted solar electric system. (31) SunPower SPR-E20-327 Panels, (2) SMA SB5000TL-US-22 inverters. 10.137 kW (Please Circle All That Apply) Is job ready for inspection: YES NO Rough In Final Do you need a Temp Certificate: YES NO f Temp Information(If needed) *Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other 'New Service: Re-connect Underground !Number of Meters Change of Service Overhead Additional Information: PAYMENT DUE WITH APPLICATION B241equest for Inspection Foffn i/ a C O � rc� 3 GREENLOGICO ENRGY May 18, 2016 Town of Southold Building Department Town Hall 53095 Route 25 Southold, NY 11971 Dear Building Inspector: Please find attached a building permit application on behalf of Janet Vanadelsberg who has engaged us to install a ground-mounted solar photovoltaic (PV) electric system for her home at 4297 Wells Rd, Peconic, NY. In connection with this application, please find attached: • Building Permit application • A Storm Water Assessment Run-off Form • Certificate of Occupancy Application • Application for Electrical Inspection 0 Covenants Documentation • 2 Surveys of the Premises • 4 Engineer's Reports (2 originals and 2 copies) • 2 Three Line Electrical Drawings • 2 Spec. sheets of the solar panels • 2 Spec. sheets of the inverter • 2 Spec. sheets for Racking System • GreenLogic Suffolk County Home Improvement License • GreenLogic Certificate of Liability Insurance • GreenLogic Certificate of Worker's Compensation Insurance Coverage • Installation Manager's Master Electrician's License • Check for$200 ($50 Building Permit/$50 CO/$100 Electrical Inspection) Please let us know if you need anything else in connection with this application. Yours truly, Jc4w �. Samantha Corbett Account Manager Samantha.Cor ett Greenlogi o GREEN C C o www.�reen ;ree el'e91: 9/7 7714330 Fax 877 7714320 �- 1-5152 ext 107 SOUTHAMPTON ROSLYN HEIGHTS 425 County Rd. 39A 200 S Service Rd , #108 Southampton, NY 11968 Rosyln Heights, NY 11577 GREENLOGICo ENERGY August 15, 2016 p [EC[E0'V[ED AUG 18 206 The Town of Southold BUILDING DEPT. Building Department TOWN OFSOUTHOLD 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Building Permit No. 40730 Janet Vanadelsberg 4297 Wells Rd, Peconic 86-1-9.5 To the Building Inspector: Enclosed please find the Engineer's Certification Letter for the above referenced solar electric system which we installed. Please arrange to send her the Certificate of Occupancy and close out the building permit. Please let me know if you have any questions regarding the installation. Sincerely, C- Samantha Corbett Account Manager Samantha.Corbett@Greenlogic.com 631-771-5152 Ext. 107 GREENLOGIC LLC o www.GreenLogic.com Tel 877 771.4330 Fax- 877.771 4320 SOUTHAMPTON ROSLYN HEIGHTS 425 County Rd 39A 200 S Service Rd ,#108 Southampton, NY 11968 Rosyln Heights, NY 11577 BOXES S TIIRU 9 MUST BE TYPED OR PRINTED IN JILACK 1NK OPRIOR TO RECORDING.t1A irt4IKC. I I SUPPOW COUNTY CLZRK 3 tr1 c ".0 11950fx 211 ,��.. t�raHillraie� ttecd t!Hal o laastcunteat Deed f MorlgapTau Slataia Berard€ng 1 iMing Stamm Ysptltr£iJegtrca 3t"� _. r4ortgagaAnsi. !laming .fig+ 24SQNYMA ltoistica Sub Tidal SA 3217(E«wttl7] _ Sob Tota! . 3.SpccJAft U-SIT(State) ._. TOT.Y41'G.TAX ...�...� ._ Vaal Tolm_Uttat Cottuly, Held for Apperfivanicnt G+wst.atf i�tl. S_.itU MamfauTiea _ Cextiritti0w r. .r " Tile preircrtysnserciIUyMwortgaga- ta at•nitt t:a totp�tvtd lay s cuteorino Neg.Copy' Sub Total �t 1 , _ famay dwelling calk. YES or NO other {INW tt 7QTAL — If NO,sea appropriate.lax clotisc on page N ar tltiA fnslavaleat. "5 RcalE'eaprrlyax5rapkcAgYcrtticai€aea a 7ClllaCaaspaaYlafarnraUna► Dist 19101, lU T�1t le") i Ctaatp"y Name 'rtticRutatlEer 9 7 FlPAIVIITfs = Cauk�,,,_!attic_,_,Charge s�r'.^.•t .4<�'�� Ls`F '"'" jjq E' MCO1W aYc RMM TO, uffoHi county Record*ng & Endorsement Page This page farms part of the Attadled ? made by; Mortgage,etc.) r r-- The prtu7ubes herein Is sttutttcll In �� COUNTY,NE'W`X©iti£. , TORN` 1.t A;L 4 Ell the"roWN ur --i 0 4,2r k O L4- A In tate VILLAGE ; ar Ilh3liLLr:of DECLARATION OF COVENANTS & RESTRICTIONS j THIS DECLARATION is made this 22nd day of March, 1,?)9 b}Ptxamc Land Trust Inc.,a New York not-for-profit corporation.having its principal office at 296 tiamPlea Road,M Box 1776,Southampton,NY 11969,hereinafter referred to as the DECLARANTS. WITNESSETH: WHEREAS,tha DECLARANTS,are the owners of certain real,propany situate on the-West side of Wells Road,Town of Southold;Suffolk County.New York,mon punfcularly bounded and described in Schedule"A"attached hereto{hereinafter referred to as bE the Property);and WEIEREAS,the DECLARANTS have made an application for and have received conditional approval from the Planning Hoard of the Town of Southold to subdivide said iproperty into three(3)lots,asshown on the Subdivision Map of"Richmond Creek Farms I Section 2"prepared by Young and Young,last dated which map wits simultaneously filed F herewith in the Office of the Suffolk County Clerk on ,1998 as Map File No. j and WHEREAS,for and in consideration of the granting of said approval,the Planning Board of the Town ofSouthold has deemed it to be in the best interests of the Tower of Southold and the owners and prospective owners df said lots that the within Covenants and Restrictions be imposed on Said lots I and 2,and 3,and us a condition of said approval,said 3 Planning Board has required that the within Declaration be recorded in the Suffolk County Clerk's Office-, and WHEREASi-the DECLARANTS have considered the foregoing and have determined that the sante will be for the best interests of the DECLARANTS and subsequent owners ofsaid parcel, NOW,THEREFORE,THIS DECLARATION WITNESSETH: That the DECLARAN''TS,for the purpose of carrying out.the intentions above expressed.do hereby make known,admit,publish,covenant and agree that the said lots within said subdivision map shall hereafter be subject to the following covenants and restrictions as r ' herein cited,which shall run with the land and shall be binding upon all purchasers,lot owners and holders of said Property,their heirs,executors,adrninisttatots,legal rapreseriratives, distributees,successors and assigns,to wit: f i WHEREAS.GRANTORS are the owners of lands located on the l'iest stde of Wells Road in the"town of Southold.County of Suffolk unci State of:ecu York,busing mote particularly bounded and describes!in Schedule"A4,annexed lncreto and made J pati hcnof and as shown on a certain map entitled"Subdivision Map Richmond Cr,ek Famt4 Seetion 2".ittuate Peconic.Town of Southold,Suffolk County.New York,whictc map%aa,filed in the office of the Clerk of the County of Suftbik on the day of <19911,as Slap Fsle No ' ,and WHEREAS,the GRANTORS are required,pursuutt to the Cocidsnunul l'mal j Approval granted by the Planning,Hoard of tin Town of Southold in a resolution adopted on } jj 1999,to create mutual easements for the purpose of initress and egress ti certain ofthe lets or ! parcels of land in said subdivision and for the installation of utilities.suhth+ixion entrance sign. ' i and all other lawful purposes in favor ofthcse parcels,so that there will he only one i 1 f conunon i 6 °. -access to serve said lots 41,Q,and#3,and t There will be a seventy-Give t?Sl foot wide no disturbance wetland buffer area adjacent to the wetland area as shown on Clic map entitled Subdivision or Richmond Creek Farms Section?. Grading within this arca shall be prohibited,and clearing aimd eutting,shall be l ' ' limitedto that necessary for proper maintenance and reinoval of diseased.decayed or dead material and obnoxious plant species. U2. The Town Board of ilia Town of Southold finds that himiing is an essential activity within the Town of Southold. Farmers provide fresh food.e1►.tn air.econott<Jc c diversity and aesthetic open spaces to all the citizens of our town. In addition.land in i agricultural uses requires less tax dollars for services than does land titiith residential or commercial development. Accordingly,farmers shall have the right to farm in Southold without undue interference from adjacent landowners or users; For the purpose of reducing t'ltture conflicts between people residing on lots adjacent to farmlands and Ihmiert,it is necessary to establish and give notice of the nature of the farming activities to future neighbors of farmland c and farming activities, Agricultural activities conducted ow farmland,undertaken in compliance with applicable federal.state,county and town Jaws.rules and regulations.are presuined to be good agricultural practices and presumed not to adversely offset the public health safety and welfare. We find that whatever nuisance may be caused to others by such uses and activities,so conducted,is more than offset by the benefits fraiti,fanning to the community. Therefore.all such activities shall be protected farm ptactdres within the Town of Southotd. 2 3 Vehicular access to and from Richmond C'rcck Farmq for luti 1, ;aw t shall be subject to a "Decimation of Common Uriw%iiy",which is sewludcd Imrein ural made apart of this doularntion. Lots 1,Z.mitt t shali be atccomod by,i t 1W kwt rock common driveway.as indicated on the proposed subdivision plus t:arh+s[tbn►w fat o�ncri shall use the common driveway and shall be responsible For asul pay for the haat of r-munding, 1 i repairing anis maintaining such common thircway from the rntmacc at W06 Abad The user of the existing common driveway is limited to access mid egress for laits 1.Z.land i of SAW subdivision and shall not provide access to any adjoining properties WHEREAS,thr F GRANTORS desire to provide for such shared driveway access to and frxtsn Well%Ito�d.+out /A. lots numbered 1.wand 3.ol'said subdivision neap shall lick a common driveway access tri and llutn Wells Roati by way of is:.iitgW casnmun dmc%;I} as shown an said subdivision map over the land mcm shalt n oft suis%Ubdivisiao ntap as „Common Driveway Easement Arca".,and as described more rully in Rcheduli*W annexed hereto. /B. Tlic use orthe coal rmm drivcwayarc a as shown°an said map shall be subject to the following restrictions: 11. The lot owners shall nave_thc joint.equal,and mutual right r, to use the common driveway as shown on,said subihvision matt roe the putpm as ingress and egess and placement of utilities. 2. Tho terms"lot owner"or"tot owisdcs".i> axcd in this Easement,shall be deemed to include any hales,distribulees,sufi:Ceuors,or assigns of the particular lot owner or tat owner, VI Each lot ewnerisaffected by thc•Eascment.by accepitrY a deed to or taking title to any past of the lands dettcribed in Schelde"h"its annexed hereto.and does hereby authorial and accept,for the lot owner and his/her heirs,distilbutces,sueresaors,and asaigtts all or the conilltions, obligations,restrictions and pmristonsoftltllt Eu mcnt. /4, The word"maintenance".as used in this tawnwnt,shall'be deemed to mean all casts and ezpenset:in connection with said conmtori driveway,including tha,costs orswcoping,surfacing and zvoirfacing,rcpavlaW adding rock or filling in of holes.and all those films neco"pry.lo maks it 3 1 r 3 convenient and safe for tJtY owncss of the;if'oresaid tot.*to vu tht conwwa driveway as shown on said map. ✓S. The ownenof the respective Tats.Of any poOlon di Not. shalt determine,what maintenance shall be done an rhe rusts and the arttotina of money to he expended therefore. Each lot owner shall hr res}rorosrhl+r fill the proportionate share of expense.;(33113%)that his/her vote tett 1g,Ow entire number of votes eti�xible to bre cast. /6. All decisions for the mtprovournt-w4 of rank umv of r the private roadway shall be/node by majority vote of the three til tot a-,vncra. t 1 � Proxy totes shalt not be acceptable. Thera shall he ant;-,ate per tot Any tot owner may initiate a vote on any maintenance or impio%cinont shatter by-sawling ' a notice by certified mail,return raccipt requested.to all artltLf lsii av►tretot Said notice stwil contain all information accusuy to make an infornscd rlrcwlou on the { matter. Any lot owner not votiitguffirmatively or ncgesivrty within tr+�ti t:t weeks of the mailing of that,notice shall baa bound by the decision of snow who do vote. r r7. All lot owners agret that 011e maadway shat€always be maintained so as to he passable by ordinvy passenger;scrviee sued emt:tgostcy vehicles and this shalt include prompt m-pair of arty"potholes"or similar defcas in.the road which cause the roadway to become substandard. A Irkthe event ofany of the tot owner's failure to pay their proportionate share of maintenance r:t mcs within founcoh 11.4)dk)s of written noti f cation of ebarges.such unpaid monies may be collected proportionately, from each ofthe other tot owners. In dilsevem,all los nwnm ha-,°uta duty Patti both their proportionate share of cxpcmes toad that of the MiWitnt;lax awnet shalt he deemed the contractors as dolinrd in the Iso% York Lwa LAU The tare owner whohas not paid his/her proportionate share shalt sub)wt limba rM property to the liens of those lot owners who have paui their sharp of rnsrruow. r expenses. The tot owners who have paid their proponionate slime of expaw" may also commence an action against thaderaultind lot owner,in atom of appropriate jurisdiction,in orderto recover the unpaid mvniet Iso mty station commenced against a defaulting tat owiner,dwro stroll be a presumptive that the 4 3 , r 1 maintenance work for which monies arc awing was a atidty au wn tcd by the majority of the lot owners and was competcntty porlinmcif by thr aisttactur vslw did the work. A defaulting tot owner shalt be IWblc fat all s.asis ami cmwou*. including but not limited to interest chatgcs.and attorwyf fart that arc ineutiC4 by lite other lot owners in recovering tht:defaulthij;lot moue v unpxui Mae to expenses. r 9. Notwithstanding anythinS,tu the cowtxry barrio,cueh aut every lot owner shalt repair.at his"har sole ceras ind eYpenu.any clottage denv to the roadway by construction truf c,tnuchintry.cr iol cr iiaptcmcnu used in thv consttuction of itnprovfu�fi eats on tttc partieithir lot ow avr'3t gild Arty iailute to make orpay such rcpatr tray boItcoted by the uthcr k u owtoa sir uAcIvuh 0 the payment of maintenance expenses,in aceoidma v0h s.ds-p+rupltVU Ir air,}rC 4. This&moment is binding upon all graatm,Hairs,duittENutcca,rte,i�eAstui. or assigns of any portion of the hinds described in Seh Aute°A',ah"vo. This common Driveway Easamem inay not be tookca.ruscondcd,cmiquattA modified or amended without the express written}iermissiwo of a ntamty pl4s rota of k Southold Tow n Planning Board or its legal succemr,except that the prof-!stuns hvnvf Okla relate solely to the making or repair or improvement dceishms or the altnvw"i at atpa wx among lot owners may be revoked or modified witht ul sutrh lfoat�t atptttrcvai' The covenants and restriction:contained basin shell tv,;comtrU04 to lic to addition to and not in derogation or limitation ttprsa any kcal,it*.or taloa#lttxt,eutbtWw". i regulations,orprovisions in effect at the tints of execution oftbis agorcrmettt,or of dw acme Amb # laws,ordinances,regulations.andler provisions may homfler be rcr twcd.arncrA4 or j . t pmmulg IC& The covenants and resirict'tons containsd herein shall he cnforctaibic by the Toots of Southold or by any lot owner by injunctive relief or by arty other rcmedy itt cgttlty or as t,aw. The failures of the Town of Soutiiold or any of its agerktics to enforce rune sluil tmt bet dee ed to affect the validity of this covenant nor to Wpm any liability whmwever vmu ft Town of Southold or any off cer or employee thereof. 5 'Mw covenants mitt resttictiwu%W1 tvn with 4114 lam!,wd dwia ba t outing the DECLARANTS.its succcssars and u3biSs,04 up.1n all POW-*Or-AW--civanlu3g WJC: them,and inky be lcttntnated.mwokcd of ttrncmW by tris oww of dire t'rutu;ei;..W)x 1111 d W wriucn,consent of the Town. Ifany seelion.subssctiou,purigraph,ctWur.p�ease.x pt:ir1140t of tY covenants titid r6mettctns sliall,by a Court ore nn¢atatit 3.tlidwinnl,tav,nitu4cd rtlryii unlawful.invalid or held to be unconstitutional.the to:Aadt%A-4:Milt tha%arty at 11%CV'3 covenants ars a wholc or any other part or prowtop nercof ctihct dims ttar pare w AdIIQ49%V k'#tae illegal.unlawful,invalid.of The within Declatration is made sulajol to the proiitnuhu or A 14*1,rctpltrd by law or by ihcir provisions 16 Nr inaorpotnted hetetd trial ttsttttc a pari IIUMOf.as l uagb MY sttt forth. That,the within Declamtion sltull nm with the hint!atullhall he bnjing Uratt the DECLARAKfS and their successors and ansigttt.W Capon all pit RM'01 Snttit e s clastrtsttp tatst#ot them.and may not be annulted.waived.changes modifier},temtittstcd.eevAxd.w=lkd.of amended by subsequent owners ofthe property un1w mW until atptovel by&mmottly pho Otte vote of the Planning Bound of the.Town of Southold or its suceettisots,tinct A 11413lic hcart116- i b a { ' IN WITAtF..SSth'1iF.Et�U1'.theUt;t.'#.+1t1iP►tiftis�+se,� d#iia F: executed the foregoing instrument thu day and yqr Inst written chive, a s By: John v.H.Halsey.PmIdene Peconie Land Trust,Ilse. i 'i 1• State of New York is. County of Suffolk On the IaB`day of LkA intha yc�r_�`� F.�tr ntr,the undcmigncd.ls Notary Public in and forsaid statr,pegorWly appdumt6 �LL U IA +; aA-;act personally known to me or proved to mean the basis r f talWktmr evhfcttce to be the individualist whose namels)is turd sut:seribed to the Witlmn Iltsuun CM WW acknowledged to me that hetshetehey executed the same in hiMM tlicir c*mitytieat and that by his/her/their signatttrcts)on the irilMtttten1.1114 tttdivkNmk na OW person upon behalf of which the Individual(s)acted.4xacuted the intirutttent. Ot4Fsr1 I�bik•S;vi`c•{-d+��1�rji ..dtWO5d;,q rt+a► aQ.o�(ipta{'iw 5db it.�'Osn}y x 7 ALL that certain plot, piece or parc*1 of land. atitust*, lyiAq &nd being in the Town of Southold, County of Stftolk "d state af ► York, being bounded and described as follows r BEGINNING at a point on the north#rlyP sift 4f ftils Relaid, &sit point being the southeasttzly corner of the deacrib pr4sl"* herein, being iaherae the westerly limo of ocher Iz%d,e t as formerly .of Peconic- Land Trust. Inc. a1o" the northerly al of We11a Road;. RMWING THENCE along the northerly Sade of Valls 'R*&4, sort,$ 55 degrees 04 minutes 29 seconds West, 434.00 feet to tht ea<atarly line of Richmond Crasek;• THENCE the following 5 courses and distancto 4long that tasttrly i side of Richmond Creeks i 1. North 44 degrees 28 minutes 45 seconds tet, 232..41 C4*tt 2. North S4 degrees 41 minutes 35 seconds West, 166.SS foots 3. North 32 degrees 49 minutes 20 oeconds Neat, 224,45 feet; 4. North, 41 degreez So minutaera 24 seconds Usse, 162.40 Usti S. north 24 degrees 38 minutes 49 seconds West, 1:59.7S ester THENCE -North 63 degrees 50 minutes 23 ascande Rant. 247 46 fatee along land now or formerly of Peconic Und. "crust. 'Inc. s THENCE the following 4 courses and dist:ancss stilt, along land now or formerly of Peconic Land Trust, Inc. r 1. South 49 degrees Sa minutes 'S5 seconds East. 331.54 foot) 2. South 56 degrees 43 minutes 13' seconds East. MAO feet] 3. THENCE southeasterly along an arc of a curvet, bearing to ths right, having a radius: of 500.06 fetet and a length of 110.20- 90tt:a 4. south 34 degrees 5S minutes, 33 ,soconds. East, SSA litet: to th northerly side of Wells Read, the point or plaec* of DYAf 190. i 11,950 65 �:t�ml�tslltlY .�. BEGINNING AT A POINT on the Southeasterly side of klai»ltd, folb tvx riet Southwesterly Froin the irate wetiun of thr Southmterty zip of!darn NOW MW ft. Westerly side of Wells Road. ` Running thence from the Intersection al'the S"th atatefly side of Main Rtmd arses 116- Westerly heWesterly side of Wells Read,South 34 dcgrm 41*4 1"Maier 2253,11 Vki atm#l smb r or formerly of Pelligrini to.t Point, Running thence South 52 degrees 27'e" West 140.22 fed toll g ism ahw%, kir formerly of Chester Skwarn and Joyrc 5kwara. Running thence along land now or frismorly of Sltwaso&Ywhwuit 14 ei)"feel to a t Running thence still along taml of Skw=15outh i tb*Vm P* $*I"Wrat M t'ret gua point on the Northerly side of Wclls Road. Running thence along Wells Roan North 73 degrees W 1"Wcma td 1 71 fret kt is-"NT AND PLACE,OF BEGINNING Running thence along land now,or formerly of PetlijoM North '14 dcw 55'11"WCO 55.35.feet Running thence still along,land now or formerly of Pci:ipni Noah.%dkg#Vc*►4.111 Y West 550.7 feet to a point that isihc Nonhcaaierly cotter oftl.= 10 kwwoe right o$vray for the common driveway c-asisntttit Running thence Southweslerxy:30 feet to a Pohl:at thq soutlrwrstWtly Coma of the tri foot wide right of way for the common dtitreway"VMVM Running thence along Flag lot common drive Soutt- SBi*paj.4)' 11"horst M)2?Gt tftt to-a point on the-Northerly side of Wells Rase#. Running thence Easterly along:the Notiherly%hk of Walk Rood t+s tet ns aw paitnt Oj Place ofboginning. SURVEYED FOR: JANET VAN ADELSBERG PROPERTY LOCATED AT PECONIC LOT Nca. 2 AS SHOWN ON MAP OF RICHMOND CREEK FARMS, SECTION 2 LAND N/F FILED: MAY 16. 1999, FILE No 10282 PELLEGRINI TOWN OF SOUTHOLD LOT 3 0 GRATE PECONIC LLC. SUFFOLK COUNTY. NEW YORK S.CJ,M. & 1000-86-1-9,5 �� At,Gfi AREA z 2,6229 ACRES @) SCALE., I"=60' NOTE THE EXISTENCE OF RIGHT OF WAYS. WETLANDS AND/OR EASEMENTS OF RECORD c - N ARE NOT GUARANICCO. Is, �Ah IF ANY, r40T SHOW p'?, GRATE TAKE GRAVEL cam"Ivew wxtiQ 1.0cam AREA 4!" caur or LA" XRAO 485.00'. LEN = 184.49' 4MAIN ROAD RAO = 470,00' fr;.Y.s. ATE 25) C? LEN = 178.78' 41 Y5'NCT1.ANgK R ' SINS S 14'55*31"E EDGE or LAWN "w 4 4 ST' N 3455*31 LOT 1 5.5.35' RICHMOND 5 DAR S 55'04'2q"W CREEK 15.00' 14ETLAND FLAGS BY StlAbfN BARRON S-10-2M3 LPMRKRIZES WERA104 CR AWITION 10 TK$Silky MA VICLATIC" or ucyag 11z"0,tM WU YOK STATE ffiXATIC14 LAM C&40 Or Ttdl.�%AIMY Mp tOf WAA06 tit LAM fAMVICAS 0410 LAND Sq CAMS=UAL 910"NR DC 7 C:jaWVVX0jr TRUE UPY, W"RIES CA=tp'WAlm"s tw cmv TO Tic It"O"f1tw we"T$<WN0 11;rAtPARM AW OW 0113 VOIALf Id TK TME VOW?M,WVM004TAL AGEMY AM LEY 00 04MUTICid LISICO NERCO".AM to lmfjqsstwUl cr tile LUC04 t"Iffulm OLMANTUS(P WfIr CA1104 ME MT-TOAKSYEROOLE 191 AWITIOKA�L SURVEYED BY W01luTlaw.ca%WA%41 OWCAS FRANK BARYLSKI LAND SURVEYING CERTIFIED TO: RIVERHEAD. NY 11901 JANET VAN ADELtBERG PHONE 631-727-1730 CHICAGO TITLE INSURANCE SERVICES. TITLE No. C13-7474-14716-SUFF FAX 631-204-3697 FB 1158 SEPTEMBER 10. 2013 ReceiptCopy Page 3 of 3 SUFFOLK COUNTY DEPT OF LABOR, LICENSING & CONSUMER AFFAIRS PAYMENT RECEIPT RECEIPT NO. 314485 GREENLOGIC LLC 425 COUNTY ROAD 319A (SUITE 202) SOUTHAMPTON NY 11969 Rec'd From: DIB/A: Date: M CLEJAN GREENLOGIC LLC 04/06/2016 Payment Type: IND: Drawn On: CHECK 12357 SUFFOLK COUNTY NATIONAL BANK Category Service Fe; - Violation Slip No Remarks 5-H.I. Contractor C- Lic. Renew. $400,00 SUFFOLK COUNTY DEPT OF,LABOR, LICENSING&CONSUMER AFFAIRS HOME IMPROVEMENT CONTRACTOR LICENSE J NAM MARC A CLEJAN This certill es that the GREENLOWC LLO bearer is duty licensed by the County 61"Suffolk 40227-H 05125,2006 ry 05101/201$ RECD BY: 2� F CL OTAL: Remarks: 400.00t ATTENTION HOME IMPROVEMENT CONTRACTORS Suffolk County Code Chapter 563-17(D) states: All advertising for Home Improvement contracting shall contain the number of the Home Improvement,license. Customer copy http://suffolkca.,'receipteopy.aspx?ID=314485 4/6/2016 CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDD/YYYY) 01/25/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.' IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTNAMEBrookhaven Agency,Inc. Brookhaven Agency,Inc. PHONE 631 941-4113 FAX 631 941-4405 128 Old Town Road Suite C EMAIL , brookhaven.agencyaverizon.net PO Box 850 PRODUCER East Setauket NY 11733 INSURER(Sl AFFORDING COVERAGE NAIC# INSURED INSURERA: HDI-Gerling America Insurance Co. Greenlogic,LLC INSURERS: Merchants Preferred Insurance Co. 425 County Road 39A,Suite 202 INSURER C: First Rehab Life Insurance Co. Southampton,NY 11968 - INSURER D: Endurance American Insurance Company INSURER E: AGCS Marine Insurance Company INSURER F: National Liability&Fire Insurance Co. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS MMIDD GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY X X EGGCC000076916 01/31/16 01/31/17 DAMAGE TO RENTED $100 000 CLAIMS-MADE �OCCUR MED EXP An one person) $5,000 X XCPERSONAL&ADV INJURY $1,000,000 X Contractual Liab GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG s2,000,000 POLICYX PlFrT RO- 7 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B X ANY AUTO CAP1043565 8/11/15 8/11/16 (Ea accident) $1,000,000 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ X UMBRELLA LIAB NX OCCUR EACH OCCURRENCE $1,000,000 D EXCESS LIAB CLAIMS-MADE X X EXC10006421400 01/31/15 01/31/16 AGGREGATE $1,000,000 DEDUCTIBLE RETENTION WORKERS COMPENSATIONX WC STATU- I OTH- AND EMPLOYERS'LIABILITY F ANY PROPRIETOR/PARTNER/EXECUTIV� N/A V9WC653352 6/15/15 6/15/16 E L EACH ACCIDENT 1$1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E L DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT 1$1,000,000 C NYS Disability D251202 4/11/15 4111/16 Statutory Limits E Installation Floater/Property Floater/PropertyMX183958282 4/15/15 4115/16 $1,000,000 $1,000 Ded DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION TOWN OF SOUTHOLD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 53095 ROUTE 25 SOUTHOLD,NY 11971 AUTHORIZED REPRESENTATIVE �> ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD STATE OF NEW YORK WORKERS'COMPENSATION BOARD CERTIFICATE OF NYS WORKERS' COMPENSATION INSURANCE COVERAGE Ia.Legal Name&Address of Insured(Use street address only) lb.Business Telephone Number of Insured Greenlogic LLC 631-771-5152 425 County Rd 39A Ste 202 lc.NYS Unemployment Insurance Employer Southampton NY 11968 Registration Number of Insured ld.Federal Employer Identification Number of Insured Work Location of Insured(Only required if coverage is or Social Security Number specifically limited to certain locations in New York State,ie.,a 203801194 wrap-Up Policy) 2.Name and Address of the Entity Requesting Proof of 3a. Name of Insurance Carrier Coverage(Entity Being Listed as the Certificate Holder) National Liability&Fire Insurance Company Town of Southold 3b.Policy Number of entity listed in box 141 a" 53096 Rte 25 V9WC653322 Southold NY 11971 3c. Policy effective period 06115115 to 06/15/2016 3d. The Proprietor,Partners or Executive Officers are included. (Only check box if all partnerslotllcers included) X all excluded or certain partnerstofficers excluded. This certifies that the insurance carrier indicated above in box"3" insures the business referenced above in box"la" for workers' compensation under the New York State Workers'Compensation Law.(To use this form,New York(NY)must be listed under Item 3A on the INFORMATION PAGE of the workers'compensation insurance policy). The Insurance Carrier or its licensed agentwill send this Certificate of Insurance to the entity listed above as the certificate holder in box"2". The Insurance Carrier will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment ofpremiums or within 30 days IF there are reasons other than nonpayment ofpremiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices maybe sent by regular marl.) Otherwise,this Cer6freate is validfor one year after this form Is approved by the insurance carrier or its licensed agent,or until lire policy expiration date listed in box"3c" whichever it earlier. Please Note:Upon the cancellation of the workers'compensation policy indicated on this form,if the business continues to be named on a permit,license or contract issued by a certificate holder,the business must provide that certificate holder with a new Certificate of Workers'Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers'Compensation Law. Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form. ' Approved by:NICHOLAS ZULKOFSKE (Print name of authorized representative or licensed agent of insurance carrier) Approved by: 06/12/2015 ature) (Date) Title: Authorized Agent Telephone Number of authorized representative or licensed agent of insurance canler: 631-941-4113 Please Note.Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it. C-105.2(9-07) www.wcb.state.ny.us Workers' Compensation Law �I ter\ tier \ t/• .e+;�--�'��,/," .\iir 7�,�' 3 `,.J \t`f 5Y` `.`'�� .�11�'�I� ��%�.�\` ��- .`1 f/ •��j�••:SF �-,/�• \�(,,�01 i�•�\ ° "$' /�. I Suffolk County Executive's Office of Consumer Affairs VETERANS MEMORIAL HIGHWAY HAUPPAUGE,NEWYORK 11788 DATE ISSUED: 12/10/2007 No. 43858-ME 1 1 �h 1 ,1 Master / Electrician License This is to cer*that ROBERT J SK-YPALA doing businessGREENLOGIC LLC having given satisfactory evidence of competency,is hereby licensed as MASTER ELECTRICIAN in accordance L� with and subject to the provisions of •• • and regulations of (4� the County of Suffolk,State of New York. 1 , �:• Additional BusinessesDEPARTMENTAL SEAL rW NOT VALII)WITHOUT AND N CURRENT 11)CARD Director 11 i i C �l��a. '..h. !ta ...�yl�•' ,s. �����Y f .:....... �v7.("' .r���11 f� a� �i'4�f'�,��.� � 3�4��.�F -- � �.C�„�}�..., :-:sr��srl J \• � �;;moi, = /t \�'_� 'lw i < %i \. :� : /% \\' iii ;�!� I/ !� /.>�i _ //`:\ /t5l 1• !/ 1\;' `' f' \� �/� J AMES J. S TOUT A R C H I T E C T & Assoc. 2 GREG LANE E AST NORTHP0RTN. Y. 631 - 8 58 9388 - COIAP LY VVITH ALL CODES OF NEW YORK STATE & TOWN CODES Letter of Certification AS REQUIRED AUnL 'Na!TI0 SO�tI6k�6�tl11�C— May 18,2016 S0 n ®ARD RE Vanadelsberg Residence m N•Y 4297 Wells Road Peconic, NY 11958 To Whom It May Concern: LECTMCAL WSP CTMI RE01ARED I,James J.Stout, registered architect NYS license number 021633 would like to submit the following. I have inspected and analyzed the roof structure at the above- mentioned address and have determined the structure and the panel attachment to be adequate to support the new additional load imposed by the proposed solar panel system. The existing roof rafters 2"x 10"@ 16"will provide the required support. The installation will be in general conformance with the manufacture's specifications as well as complying with the 120 M. P. H.wind,design load as per N.Y.S. residential code 2010 and ASCE 7-05 and 2011.NEC code and must comply specifically with RM 2301.2.1 through RM 2301.2.9. RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 James J. Stout APPROVED AS NOTED OF THE TOWN CODE. DATE- , B.P.# 3 FEES BY: p� APT NOTIFY BUILDING DEPARTMENT 'AT �5 5 ) ST 765-1802, 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR,'POURED CONCRETE ', 2. ROUGH - FRAMING.&. PLUMBING 3. INSULATION ' . • I 1 -121633 y0� 4. FINAL',--CONSTRUCTION MUST OF NE`s BE COMPLETE FOR C.O:. ALL CONSTRUCTION- SHALL MEET HE OCCUPANCY OR REQUIREMENTS.OF THE CODES OF Nc USE IS UNLAWFUL" YORK STATE. NOT RESPONSIBLE FOR UFUL DESIGN OR CONST RUCTION ERRORS. WITHOUT CERTIFICATE F OCCUPANCY GV EENLOGIC® ENERGY GreenLogla,LLC Approved Janet Vanadelsberg 4297 Wells Road Peconic,NY 11958 Surface#A: Total System Size:10.137kW Array Size:10.137kW 1 string of 8 and 1 string of 8 on SB-5000TL 1 string of 7 and 1 string of 8 on SB-500OTL Azimuth:200° Pitch:36' ' Monitoring System: SunPower 0 PaneVArray Specifications: Panel:SPR-E20-327 Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:62'%"X 13'8%" Surface:67'7"X 25' Legend: ® 31 SunPower 327W Panels ® SunPower Invisimount Rad • 80 Eco-Fasten Quik Feet a2x10"Douglas Fir Rafter 16 O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower, SMA Added Roof load of PV System:3.5psf Engineer/Architect Seal: ER Aq ST a� 01633 yOQ OF NE`s Drawn y:MMB Drawing#1 of 5 Dat - /17/2016 REV:A Drawing Scale:3/16"=1.0' GREENLOGIC® ENERGY GreenLogic,LLC Approved Janet Vanadelsberg 4297 Wells Road Peconic,NY 11958 Surface#A: Total System Size:10137kW Array Size:10.137kW 1 string of 8 and 1 string of 8 on SB-5000TL 1 stnng of 7 and 1 string of 8 on SB-5000TL Azimuth:200° Pitch:36" Monitoring System: N SunPower Panel/Array Specifications: Panel:SPR-E20-327 Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:62'%"X 13'8%" 04 Surface:67'7"X 25' Legend: ® 31 SunPower 327W Panels ® SunPower Invisimount Rail • 80 Eco-Fasten Quik Feet rd B2x10"Douglas Fir Rafter 16 O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower, SMA Added Roof load of PV System:3.5psf Engineer/Architect Seal: R AR r 021633 ypQ' OF NEIN Draw y:MMB Drawing#2 of 5 .5117/2016 REV.A Drawing Scale:3/16"=1.0' GREENLOGIC® ENERGY Green Logic,LLC Approved Janet Vanadelsberg 4297 Wells Road Peconic,NY 11958 Surface#A: Total System Size:10.137kW Array Size:10.1 37kW 1 string of 8 and 1 string of 8 on SB•5000TL 1 string of 7 and 1 string of 8 on SB•5000TL Azimuth:200° Pitch:36" Monitoring System: Sun Power 0 Panel/Array Specifications: Panel:SPR-E20-327 Racking:Sun Power Invisimount 4 Panel:61.39"X 41.18" Array:62'%"X 13'8%" Surface:67'7"X 25' 4 2 1 Legend: 3 2 1 1 ® 31 Sun Power 327W Panels ® Sun Power Invisimount Rail 3 2 1 • 80 Eco-Fasten Quik Feet Ba 2x10"Douglas Fir Rafter 16 O.C. Notes: Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,Sun Power, SMA Added Roof load of PV System:3.5psf Engineer/Architect Seal: ER AR >k 1921635 y0� OF NE`N Draw By:MMB Drawing#3 of 5 _W.5/17/2016 1 REV:A Drawing Scale:3/16"=1.0' No Vent Pipes Will Be Covered By The Solar Array GREENLOGIC® ENERGY GreenLogic,LLC Approved Janet Vanadelsberg 4297 Wells Road Peconic,NY 11958 Total System Size:10.137kW Array Size:10.137kW 1 string of 8 and 1 string of 8 on SB-5000TL 1 string of 7 and 1 stnng of 8 on SB-5000TL Azimuth:200° Meter Pitch:36" Monitoring System: SunPower 18" Service Panel/Array Specifications: WalkwayPanel:SPR-E20-327 Racking:SunPower Invisimount Panel:61.39"X 41.18" Array:62'/<"X 13'8 Y4" Surface:67'7"X 25' Legend: ® 31 SunPower 327W Panels I — SunPower Invisimount Rail I - • 80 Eco-Fasten Quik Feet i H 2x10"Douglas Fir Rafter 16 O.C. I I I Notes: I Number of Roof Layers:1 Height above Roof Surface:4" ——————————————————- Materials Used:Eco-Fasten,SunPower, SMA 2 SMA Inverters Added Roof load of PV System:3.5 sf Located Inside Of Engineer/Architect Seal: Garage On The q South Wall, West 5'��� Side. 31 SunPower -1 02163'' yOQ 327W Panels of NE`s Drawn y:MMB Drawing#4 of 5 at /17/2016 REV:A Drawing Scale:1/16"=1.0' GREENLOGIC® GreenLogic,LLC Approved Janet Vanadelsberg 4297 Wells Road Peconic,NY 11958 Total System Size.10.137kW Array Size:10.137kW 1 string of 8 and 1 string of 8 on Sl33000TL 1 string of 7 and 1 string of 8 on Sl3-5000TL 7 7 T- Azimuth.200* QtV. Pitch:36' Material ListRail Material List T Monitoring System: SunPower ------ Panel/Array Specifications: Eco-Fasten Quick Foot Base Plate —80-- 1 nvisirrount 32' Panel:SPR-E20-327 Eco-Fasten Quick Foot Square Aluminum Block 80 Racking:SunPower Invisimount Eco fasten Quick Foot Flashing 80 rPanel:61.39"X 41.18" Array:62'%"X 13'8 #14-13x4.5"DPI Concealer Screw 160 Surface:67'7"X 25' Legend: 31 SunPower 327W Panels SunPower Invisimount Rail 80 Eco-Fasten Quik Feet 2xI0"Douglas Fir Rafter 16 O.C. F Notes: F Number of Roof Layers:1 Height above Roof Surface:4" Materials Used:Eco-Fasten,SunPower, SMA Added Roof load of PV System:3.5psf Engineer/Architect Seal ER AR S A 1 021633 ypQ OF NE`N Draw By:MMBjD�,w1mg#5 Of 5 REV. .X -OaK.5117/2016 REV:A Drawing Scale:1116"=1.0' ------------------------ NEW EQUIPMENT --=---------------------_� EXISTING SERVICE 120/240, 1 PH, 3W I200A KVWH PV—SA-1A i rAA AC—COMBINER PANEL ° INV-12 1 AC—CMB-1 (LOCATED NEAR INVERTERS) ! 13 AC DISCONNECT (PV LOADS ONLY) AC—DSC-1 N • 2 1 INTEGRAL DC/AC DISCONNECT SWITCH SA— J r M AIN BKR-1 PV—SA-2A FUSED INV-21 I 1 1 BKR-2 N ® Q M— i N • •• 2' 1 INTEGRAL DC/AC I I I I I I N ® DISCONNECT SWITCH I I I N I PV—SA-2B 11 I cc I I EGC GEC,- I EXISTING _T-...__..._--.._-._--_ ---.-__--.---_ .i....__ - __-I GEC ---N—WIRING GUTTER IRREVERSIBLE SPLICE - EXISTING AC PANEL PROPOSED 3-LINE ELECTRICAL DIAGRAM REVISIONS Janet Vanadelsberg �, .� ,' ; 4297 Wells Road _ ENERGY Peconic, NY 11958 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 1 of 2 Drawing No: VNDLBG-3LD1 Revision: 1 Revised: 3/30/2016 EQUIPMENT&COMPONENT SCHEDULE CONDUCTOR SCHEDULE TAG DESCRIPTION SPECIFICATION TAG TYPE, CONDUIT AWG./ PV-SA-1A PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-E20-327, 1-STRING OF 7-MODULES EGC A USE-2/PV, PVC-40-1" 10/6 PV-SA-1B PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-E20-327, 1-STRING OF 8-MODULES g THWN-2, PVC-40-1" 10/6 PV-SA-2A PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-E20-327, 1-STRING OF 8-MODULES C THWN-2, PVC-40-1-1/2" 6/6 PV-SA-213 PHOTOVOLTAIC SUB-ARRAY SUNPOWER SPR-E20-327, 1-STRING OF 8-MODULES D THWN-2, EMT-1-1/2" 4/6 1.)CONDUCTOR TYPES AND SIZES TO BE AD- INV-1 INVERTER, DC/AC SMA INVERTER, MODEL: SB5000TL-US-22,240V JUSTED FOR TEMPERATURE, DISTANCE,AND INV-2 INVERTER, DC/AC SMA INVERTER, MODEL: SB5000TL-US-22,240V BUNDLING. 2.) ELECTRICAL CONDUIT TO BE MIN.PVC AC-CMB-1 AC COMBINER PANEL 250V, 100A, NEMA-1, 1-PH,3-WIRE SCHEDULE 40,ADJUST FOR SITE CONDITIONS. BKR-1 CIRCUIT BREAKER, INVERTER MATCH COMBINER PANEL BRAND,2-POLE,30A 3.) ALL ELECTRICAL MATERIALS AND INSTALLA- BKR-2 CIRCUIT BREAKER, INVERTER MATCH COMBINER PANEL BRAND,2-POLE,30A TION METHODS TO COMPLY WITH NEC AND LO- CAL CODE REQUIREMENTS. AC-DSC-1 AC DISCONNECT, FUSED 250V,60A, NEMA-1, FUSED; FUSE RATING: 50A ELECTRICAL LOAD SUMMARY DC CIRCUITS ELECTRICAL LOAD SUMMARY OP. CURRENT OP.VOLTAGE MAX.VOLTS S.S.C. TAG @STC @STC @ T-MIN @STC AC CIRCUITS TAG POWER VOLTAGE MAX.AC MAX. DC PV-SA-1A 5.98 A DC 315 V DC 510 V DC 6.46 A DC RANGE CURRENT CURRENT PV-SA-1B 5.98 A DC 360 V DC 583 V DC 6.46 A DC PV-SA-2A 5.85 A DC 360 V DC 583 V DC 6.46 A DC INV-1 5000 WATTS 211-264 VAC 22 A AC 30 A DC PV-SA-2B 5.83 A DC 360 V DC 583 V DC 6.46 A DC INV-2 5000 WATTS 211-264 VAC 22 A AC 30 A DC PROPOSED EQUIPMENT SPECIFICATIONS REVISIONS Janet VanadelsbergY R EI LOGIC 4297 Wells Road ENERGY Peconic, NY 119,'668 ELIMINATING THE COST OF ENERGY 1.) INITIAL SUBMITTAL WITH APPLICATION Page 2 of 2 Drawing No: VNDLBG-3LD1 Revision: 1 Revised: 3/30/2016 TU N ROW E R" 001327 SOLAR PANEL 20%.,EFFICIENCY SunPo,,ver E20 ponels are the highest ,efficiency panels on the market tocay, SERIES providing more power in"Ihe same . IIIA amount of.space ,MAXIMUM SYSTEM OUTPUT 'Comprehensive'irverter compatibility ensures that customers can pair the highest efficiency panels with the highest-ef}rciency inverters, maximizing systom outpur r REDUCED INSTALLATION-COST Morepower per panel means fewer panels ` per install.This saves both time and,money.- RELIABLE AND ROBUST DESIGN" SunPouversunique Maxeon`'''cellTHE WORLD'S STANDARD FOR SOLAR T'` technology and advances module SunPower"" F20 Solar Panels provide today's highest efficiency and design ensure industry-leading reliability performance Powered by SunPowet Maxeon"`cell technolocy, the E20 series provides panel conversion efficie-ices of up to 20 1% Tne E20's low voltage remperalure coeffic eni, anti reflective glass and exceptional low-hcht performance attributes provide oulstanding energy delivery per ' peak power watt SUNPOWER'S HIGH EFFICIENCY ADVANTAGE 15% T'-IIN FILM CGNVEHTICNA' E � ' E ' MAXE ", CELL SERIES SFRI'_S SERIES TECHNbLOGY sup owrcor ®co Patenteo cll-bac<-con.act solar cell, providing the i-idustrys nighes! efficiency iency onri rehab IdY C us 191U N FO�, E R- 00/3,27 SOLAR PANEL MODEL: SPR-327NE-WHT-D t•--------------------- ------•.--------------------------------•--•--.___-----•--_-------•- -----t ECECTR(CAL DATA I-V CURVE - Meaaved w Standard umdianca c•1000'411/r',AM 1 5,anc cell tempemr re 23°C ! __. --� 7 111ODw�,rt<s,s5a': Peak Power(+5/-3%) Pmax 327 W 6 TOOOW/W Cell Efficiency n 22.5 5 It Panel Efficiency rJ 20.1 J Q 4 awwle Rated Voltage - Vmpp 54 7 V 3 d Rated Current Impp 5.98 A 2 Soowlrrt- _ __.. - Open Circuit Voltage Voc 64 9 V - 1 ' - - -- 200 Wlma 1 Short Circuit Current Isc 6.46 A 0 Maximum System Voltage UL 600 V 0 10 20 30 40 50 60 70 ` -- Voltage M I Temperature Coefficients Power(P) -0 38%/K _ Currert/voltage characteristics with dependence on irradionce and module temperature Voltage(Voc) -176 6mV/K Current(Isc) 35mA/K - -TESTED OPERATING CONDITIONS '. NOCT 45°C+/-2a C Temperature -402 F to+l BY F(-402 C to+852 C) Series Fuse Rating 20 A 113 psf 550 kg/m2(5400 Pa),front(e.g snow) Grounding _ Positive grounding not required Max load W/specified mounting configurations - MECHANICAL DATA 50 psf 245 kg/m2(2400 Pa)front and back (e.g.wind) Solar Cells 96 SunPower Maxeon''cells i Front Glass High-transmission tempered glass with Impact Resistance Hall (25 mm)at 51 mph(23 m/s) _ anti-reflective(AR)coating -- Junction Box IP-65 rated with 3 bypass diodes Dimensions:32 x 155 x 128 mm < WARRANTIES AND_CERTIFICATIONS' Output Cables 1000 mm cables/Multi-Contact(MCA)connectors Warranties 25-year limited power warranty _________________________________ __-____ Frame Anodized aluminum alloy type 6063 (black) 10-year limited product warranty WWeight — 41.0 lbs(18.6 kg) Certifications Tested to UL 1703.Class C Fire Rating DIMENSIONS •10t 4s MM (A)-MOUNTING HOLES (B)-GROUNDING HOLES 1•--2X V,"22 ICI «-1 1_.O;/071--- �< �-�— (IN) 12X 0661261 70X042(17] 181 ..:3?> ,?n9 �-- 4;1 era C' +— , __T •'. B81H ENDS— `4 N N ( t'7Ct,4724: Please read safety and installation instructions before using this product, visit sunpowercorp.com for more details. 92011 SunPower Co•porohon SUNPOWER,the SunPower Logo,and THE WORLD'S STANDARD FOR SOLAR,and MAXEON are frodemarb or registered frodemorlks s u n P o we rc o r p.C o m of SunPower Corpamnon m the US and other countries as vreli All Righ.s Reserved Specnhcahors included in this dolasheet aro subject to change without notice Document#00665464 Rev'B/LTR_EN cs 11 316 k �SMA 9 J Z Z V11 A4 3o Al X A uv, p �w �6- 4F. THE WORLD'S ONLY— SECURE POWER SUPPLY Certified. ' Innovative - Powerful Flexible •(A 1741,ond 16996 compliant •Secure Power Supply provides r 97.6%maximum efficiency -Two MPP trackers provide •Integrated AFCl meets the require-, daytime power durinq,gridoutages -_Wide input voltage range numerous design options, ments of NEC 2o11 690.11 •Shade'management with OptiTrac -Extended operating Global Peak MPP tracking temperature range SUNNY BOY 3000TL—US 380OTL—US /4000TL-US 5000TL-US / 6000TL-US / 7000TL—US / 770OTL-US Setting new heights in residential inverter performance The Sunny Boy 300OTL-US/380OTL-US/400OTL-US/500OTL-US/600OTL-US/700OTL-US/770OTL-US represents the next step in performance for UL certified inverters.Its tronsformerless design means high efficiency and reduced weight.Maximum power production is derived from wide input voltage and operating temperature ranges. Multiple MPP trackers and OptiTracTm Global Peak mitigate the effect of shade and allow for installation at challenging sites.The unique Secure Power 4�'o S 114 Tlye Supply feature provides daytime power in the event of a grid outage. High performance, flexible design and innovative * features make the Sunny Boy TL-US series the first choice among solar professionals. 0 oa SWA Z. �. Sunny Boy 3000TL-US Sunny Boy 3800TL-US Sunny Boy 400OTL-US Technical data 208 V AC 240 V AC 208 V AC 240 VAC 208-VAC 240 V AC Input(DC) Max usable DC power(@ cos(p=1) W 3200W 4260-W 4200 W Max DC voltage 600 V 600 V 600 V _ Rated MPPT voltage range 175-4-60 V 175--4j80 V 175,7 480 V MPPT operating voltage range,_ 125_-500 V,, _ 125--500 V . _„ •;' 125::500V Min.DC voltage/start voltage 125 V/150 V 125 V%150 V 125V/150V Max.operating input current/per MPP tracker _ 18 A J 15 A 24 A/15 A 24 A/-15 A Number of MPP trackers/strings per MPP tracker 2/2 Output(AC) AC nominal power 3000 W 3330 W 3840 W _ 4600 W' Me X.AC apparent power 3000 VA 3330 VA 3840 VA 4000 VA Nommal"AC voltage/adjustable ° 208V/0 240 V1,• 208 V J• 240 V/0 208 V/• 240 V%• AC voltage range 183-229 V, 211 -264 V __i83-229V 211 -264-V !' 1$3-229\j' ' 211 -2U-V AC grid frequency,range 60 Hz J 59.3-60 5 Hz' 66 Hz/59.3-60.5Hz 60 Hz/5,9.3-60.5 Hz Max.output current _ 15A 16A 20A Power factor(cos W) 1 1 1 Output phases/line connections 1/2 1 J 2 1/2 , Harmonics 4% <4% Efficiency Max efficiency 912% 97 A _ 97 2A 97.5% 972% 975%__ CEC efficiency 96 5% 965% 965% 97.0% 96.5% 97.0% Protection devices DC disconnection device _ __ • DC reverse-polarity protection LL - Ground fault monitoring/Grid monitoring •/•, AC short circuit protection All-pole sensitive residual current monitoring unit Arc fault circuit interrupter(AFCI)comphant to UL 16998 Protection class f overvoltage category General data Dimensions{W/H%D)in mm(in) 490/519/185 (19 3/20.5/•7.3) DC Disconnect dimensions(W/H/D)in mm(in) 1$7/297/190 (7:4/11.7/7.5) Packing dimensions(W/H/D)m-mm(in) 617/597 J 266,(24,3,J 23 5/10.5) DC Disconnect packing dimensions(W/H/D)in mm(in) 370/240/280 (14.6_/9 4/11 0) Weight/DC Disconnect weight 24 kg (53161/3:5 kg (8 Ib). Packing weight/DC Disconnect packing weight _ 27 kg (60 Ib)/3.5 kg'(8 lb), Operating temperature range_ -40°C. +60°C (-40 IF . +140°F) Noise emission(typical} <_251dB(A) <25 dB(A)- <25 dB(A) Internal consumption at night <1 W <1 W <1 W Topology Transformedess Tronsformerless Transformerless Cooling Convection Convection Convection Electronics protection rating , NEMA 3R NEMA 3R NEMA 3R Features Secure Power Supply • • Display-graphic • • • Interfaces-RS485/Speedwire/Webconnect 0/0 0/0 6/0 Warranty:l0/15/20 years •/OJo' 0/0/0,_ •JO/O Cedificoles and permits(more available on request) UL 1741,`UL 1998,UL 16998,IEEE1547,FCC Part 15(Class A-&8),CAN/CSA C22.2 107.1-1 NOTE.US inverters ship with gray lids Type designation SB 3000TL-US-22 ,SB 3800TL-US-22 , - SB 4000TL-US-22 _ T - •Efficaenry curve SUNNY BOY 5000TL,U5-22 240Vac' - •••.•---•1, Accessories i -48,x...._-- _. • ,_.. �«_ -• ---'•' --•( 5peedwneJVVefxo^ned RS485 i�te=face `9b ./.,,-• ... I mtedace' - DM-485C8-USIO " Fa*Lt for SB 3000/3800/ 904000/5000TWS 22 'i • -- •^M^• _I^ " v''f' ' j FANKIT02-10 , ••• Eta IV 175 VI ' .88 i '• Eta IV 400 V1 • - i vs '80 3 86 ,___-• Et. ,-480V NJ_ __ V,°._M j QO 0.2 04 06 08 1.0 0 Optional feature -Not available Output power/Rated power *Standard feature ' ---------- Sunny ------- _•_i Data at nominal conditions Sunny Boy50007E-US Sunny Boy 600OTL-US Sunny Boy 7000TL-US Sunny'Boy 770OTL-US « __... ? 208 V AC 240 V AC 208 V AC , 240 Y AC 208 V AC 240 V AC- 208 V AC 240 V AC 5300 W " '6300 W. 7300 W 8000.W «. -. 600 V 600 V 600 V 600_V 175--480 V„ 21P,-480V 245-480 V270-480 V 125=500 Vr 125• 500Y 125-500 V 125-500 V 125V/1'50 V,- _ 125 V,%150V 125V/150V 125V/150V 36 A,/15A _ 30.A/15A VA/18A, 30A/18A 2./2 __ 60 7000 W 6650 W 7680 W 455q W„ ;i, 5000 W_ � , 5200_W , - 00 W _, - 6000 W , 455q VA , <_,. •5000 VA. 1, 5200 VA, 6000 VA x _6000 VA ,• 1 7000 VA' -, 6650 VA 7680 VA_ 208 V/0 ,240V/P 208V/r 240V/0 _,'208 V/• 240V/• 208-V,/0 240 V/ 26a V 183 229 V 211 -264,V 183-229 V' , 21 l:-264 V„- _ j 83-229 V ," 211 -264 V; , w 60 Hi%593-60.5 Hz 60 Hz/59.3 60.5 H. fi0'Hz J 59,3-60 5 1•Iz 60 Hz'/59.3-60.5 Hz 25A .. :1'29.2A -' = 32A i" 9741 - 96.8% 46.81 96.8%, 97.31 96.5%,", ;, 97,09. 96.546 „- 97 011; 965. 96.5! 96 5 i° 96 5%.,,-- �.- Y...., -.,,. „, � y._ ._ ,,,.-«,^,._- ... -. ....Vim,.-,..,..« «.M_. - - _" m •_•- - - -,. _....... f , 490f519j185 (19.3/205/7.3) _. /.190 (7 4/11 7/-7 5)..-- 617 ),__617/547%266 (24.3 J 23 5/t 0,5) 246/286 (14.6/9.4,/,1 f.4),, ._ 24�kg (531b)/3.5 kg'18 lb.) _:.. .,_,-27 kg.(66Ib)/,3.5-kg (8 Ib)._ ' •` -A0°C..+60°C (-40°F.. +140"F) _529 d6(A) .. <29 dB(A)._, _. ,. .<,29 dB(A), <29 dB(A) i,, w, c`1 W ,_ ,•" <`l;W <1,W = _ <1 W f` Transformerless' 7ransformerless Tronsformerles4 TraWormerless.,_.-. ConvecUan ran - Fan Fan. NEM6 31Z „-, NEMA 3R^4 NEMA 3R NEMA 3R _.0/0_ 0/0 0/0 -0/0/0,, UL 1741,UC 1948,Uh1699Bj EE1'S47,FCC'Part 15(Class A&B),CAN/CSA 022.2 107:3-1 SB 5000TL-US-22,-,•-_ - - „;,,,,�._�,, „SB 6000TL,US22 „„- ,_SB 7000TLuUS-22 .,,-_ ", SB 77gOT,l-US22_ 1 I JIM s Shade management Easier More efficient 9 •'... „tis.,., i -'�.0� •�� a ,p Secure Power Supply Broad temperature range Flexible communications A NEW GENERATION OF INNOVATION THE SUNNY BOY TL-US RESIDENTIAL SERIES HAS YET AGAIN REDEFINED THE CATEGORY. Transformerless design in all types of climates and for longer periods of Leading monitoring time than with most traditional string inverters. and control solutions The Sunny Boy 3000TL-US / 380OTL-US / 4000TL--US / 5000TL-US / 6000TL-US / Secure Power Supply The new TL-US residential line features more ;3 5 7000TL-US/770OTL-US are transformerless than high performance and a large graphic inverters, which means owners and installers One of many unique features of the TL-US display. The monitoring and control options benefit from high efficiency and lower weight. residential series is its innovative Secure provide users with an outstanding degree of A wide input voltage range also means the Power Supply. With most grid-tied inverters, flexibility. Multiple communication options inverters will produce high amounts of power when the grid goes down, so does the solar- allow for a highly controllable inverter U F under a number of conditions. powered home SMA's solution provides and one that can be monitored on Sunny daytime energy to a dedicated power outlet Portal from anywhere on the planet via an Additionally, transformerless inverters have during prolonged grid outages, providing Internet connection. Whether communicating a been shown to be among the safest string homeowners with access to power as long as through RS485,or SMA's new plug-and-play inverters on the market.An industry first,the TL- the sun shines. WebConnect, installers can find an optimal t US series has been tested to UL 1741 and UL solution to their monitoring needs. 1699B and is in compliance with the arc fault Simple installation << requirements of NEC 2011. Wide Power Class Range As a transformerless inverter, the TL-US Increased energy production residential series is lighter in weight than Whether you're looking for a model to r= its transformer-based counterparts, making maximize a 100 A service panel or trying +} OptiTracTm Global Peak, SMA's shade- it easier to lift and transport. A new wall to meet the needs of a larger residential PV tolerant MPP tracking algorithm, quickly mounting plate features anti-theft security and system, the Sunny Boy TL-US with Secure adjusts to changes in solar irradiation, which makes hanging the inverter quick and easy A Power Supply has you covered. Its wide mitigates the effects of shade and results in simplified DC wiring concept allows the DC range of power classes—from 3 to 7.7 kW— i= higher total power output.And,with two MPP disconnect to be used as a wire raceway, offers customers the right size for virtually any trackers, the TL-US series can ably handle saving labor and materials, residential application.The TL-US series is not LL complex roofs with multiple orientations or only the smartest inverter on the planet,it's also r; string lengths. The 380OTL-US and 770OTL-US models allow the most flexible. v c installers to maximize system size and energy An extended operating temperature range of production for customers with 100 A and 200 -40 e F to+140 'F ensures power is produced A service panels. <; Toll Free +1 888 4 SMA USA www.SMA-America.com SMA America, LLC 'X "ity .IRI ? 'q 'pr Simple and Fast Installat'on Integrated rnodule-to-rail groincing P:P-assembled mid.arid end r lamps Levitating mid clamp for easy placement Mid clarrip vviclti .C;Iitates even Irriod,ile spacing Sirnpj�&,pre-drilled rail splice UL 2703 Listed integrates grounding "'.. tee Flexiole Design It A,.,d,esses newly all slopco,resickent,al`oafs Design in landscape d nd PO'Ll Lli' ' Rails enable ea s,/obstacle rcanagemerr Custpr-,,,er-Preferred,Aest-hetics 41 module ano a,- mounting aesthetics Best-in-class 5ysremI'aestheJ-_S' Flegant Simplicity PIrcmium,,low-oroflic,desig� BlacK @noclized components SunPower� InvisiViount"," is a SunPower-designed I lidaer mid clamps and end damps rail-based nnounung systerTI The Invis Mount sysLern hbrclwarranc,capped,flush rails addresses residential slop--a goofs and COrTibines faster Part of Superior System installation time, design flex'bility, and superior jesthetics. BUHL for use-with Stir Powe! DC and%Ciouules The InvisiMount orcCLICt was sciecifically envisioned and Best-in-class system relubility and aestretics Combine with SUnPower mod and engineered to pair vjith SUnPower mooules T-e resul-,Ina - mOr-It--r.nF�ap:D sysre-n-level approach will ampllfy The aesthetic and installation benefits for botr nomeowners and installers. sunpower.com E)fd21�1USt.:/S7}IUaUADO(• •':nU,i Sn011}ITJ�-5--q.)e1' E.'')apfllJtl' ' wO�J�?MACIinS Iot ro avdn-:isa;,pgljo f.D-1oIo ayl asp ll;, uoijnIoaio-t,gr.�odunS;o s,peui,ra,i pGJaJS1SaJJc:3.'Cu POIJxjIe1h,1OtVISI^P i-)-c'o2'oiNjAAOdhr1S)41' i4,)c�!iS°P3rvas.:� lUatill 'Uc::z ('JC:)IW;,vdU:,SSLOI 1,'i:ge ad�Ja�.Ji a irr,,Je,m,pa orb,,,ur;sA�.Uro,l,sr%Uja._U ;:algl'vcur»sl Mil a:.°4 apr of 1 uGl,-ivau±lu0ps,:aJ•1!_SE-Jnuet±.dJer,apJallulaura)eiielo:lJ::aJa�aN sivaWy�etiV,ocJ%Jd�l1()J0}a�e}�a;ullesJan;t.j; . 7Uawu:el�}v)Ong alll ICIJ pue paf_inD 1,awq)e11V ur>Ua:7:00)J LS OPlSOCJWCD o ie�gdGEj ,uau,,;�r'c ai,E>H al a u,.Jpr,sudte±e� j Sl awe..+;Jlrlpoljj I i 4 ^m_� IZ'mc'dunS Jo woc (I pur aoe,}Jrs'0OJ I y` a a ° 0 A I,JJ$AIJG B�Ue1SIO UJ4^h'a'LUie.!JJ�J?/ssaj SUUI}B:Alrl lad j f (zo! 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